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See a sample rate comparisonCPT 35152 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Repair Rupture Of Large Artery, Surgery To Repair A Ruptured (Burst) Segment Of A Large Or Medium-Sized Artery In The Neck Arm Leg Or Abdomen. An Artificial Material May Be Used To Patch Up The Artery.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,270.90 national non-facility rate (2026) · View Medicare rates for 35152 |
| Medicaid Fee Schedule | $982.29 median of the 8 states in the free preview · View Medicaid rates for 35152 |
National average reimbursement for CPT 35152 by major payers:
$1,947.22
$1,973.88
$2,012.63
$2,286.03
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CPT 35152
5 of 25 sample ratesHigher to lower in this preview
Hss Asc Of Manhattan LLC, Hss Asc Of Manhattan
$4,621.00Published rateFlorida Orthopaedic Institute Surgery Center, LLC, Florida Orthopaedic Institute Surgery Center-Citrus Park
Florida Orthopaedic Institute Surgery Center LLC
$1,274.00Published rateMelbourne Surgery Center Lp
$840.00Published rateChattanooga Endoscopy Asc LLC, Chattanooga Endoscopy Center
Chattanooga Endoscopy, Asc, LLC
$592.00Published ratePioneer Ambulatory Surgery Center, LLC
Pioneer Ambulatory Surgery Center LLC
$257.00Published rate
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See a sample payer proposalCPT 35152 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 35152 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 35152 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 35151-CPT | High | Repair Defect Of Artery, Direct Repair Of Aneurysm Pseudoaneurysm Or Excision Partial Or Total And Graft Insertion With Or Without Patch Graft For Aneurysm Pseudoaneurysm And Associated Occlusive Disease Popliteal Artery |
| 35152-CPT | High | Repair Rupture Of Large Artery, Surgery To Repair A Ruptured (Burst) Segment Of A Large Or Medium-Sized Artery In The Neck Arm Leg Or Abdomen. An Artificial Material May Be Used To Patch Up The Artery. |
| 35180-CPT | High | Surgery To Repair Blood Vessel, Surgery To Repair An Abnormal Passageway (Fistula) Between An Artery And Vein That Has Been Present Since Birth. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 35152. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 35152 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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